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190027 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 s4 1f� ONE CIVIC SQUARE UPS CHECK AMOUNT: $45.88 +o CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 190027 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4342100 OOOOAA570235 10.19 POSTAGE 601 5023990 76V77A350 35.69 CONT SERVICES OTHER Delivery Service Invoice Invoice date August 28, 2010 Shipped from: Invoice number 000076V77A350 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 07MM 3450 W 1031ST ST Control ID 582Q WESTFIELD, IN 46074 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000076V77A9# 77401400033574 Visit ups.com billing AT 01 037360 5755111124 E *3DGT For questions about your invoice, call: �11��11111�1��1'I..II.II'I�' III '��II'll'�'1��1�1'I�I��IIII�II� (800) 811 -1648 Monday Friday 8:00 am. 9:00 p.m. E.T. CARMEL UTILITIES 3450 W 131ST ST or write: WESTFIELD, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period 35.69 Summary of Charges Amount Outstanding (prior invoices) 48.31 age Charge Total Amount Outstanding 84.00 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 35.69 your payment. See Account Status for details. Amount due this period 35.69 Don't lug your luggage Planning a trip? If you want to avoid airline baggage fees and UPS payment terms require payment of this invoice by September long waits at the luggage carousel, The UPS Store® can help. 8, 2010. Ship your belongings directly to your destination in a specially Note: This invoice may contain a fuel surcharge as described at designed, corrugated luggage box that acts like a suitcase, but ups.com. The published fuel surcharge is 5.5% for UPS Ground is both lighter and trackable. If you d rather fly with your Services and 7.5 for UPS Air Services, UPS 3 Day Select and belongings, the boxes have a sturdy handle for carrying and International services. For more information, visit ups.com. meet airline size restrictions. Visit the upsstore.com for more details and to find a location near you. Delivery Service Invoice Invoice date August 28, 2010 UC Invoice number 000076V77A350 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A280 07/10/2010 15.16 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 000076V77A300 07/24/2010 15.44 000076V77A310 07/31/2010 17.50 000076V77A330 08/14/2010 15.37 Total 48.31 Outstanding balances reflect any payments received as of 08/27/2010. Please ignore this message it a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date August 28, 2010 Invoice number 000076V77A350 Shipper number 76V77A OT. Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 08/17 1Z76V77A0390840502 Ground Commercial 50010 4 4 9.25 Declared Value 2,000.00 18.00 Fuel Surcharge 0.51 Total 27.76 1st ret Plant 3 DR2500 2nd ref W005198 UserlD CarmelWater Sender Michelle Breedlove Receiver: ATTN: 374806 Carmel Utilities Distributin Hach Co Service Center 3450 w 131 st 100 Dayton Ave Carmel IN 46074 AMES IA 50010 08/24 1 Z76V77A0396039234 Ground Commercial 46202 2 4 7.52 Fuel Surcharge 0.41 Total 7,93 1st ref :Weekly Fluoride UserlD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 35.69 Total UPS Internet Shipping 2 Package(s) 35.69 Total Outbound 2 Package(s) 35.69 VOUCHER 102717 WARRANT ALLOWED 314125 IN SUM OF URS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A350 01- 6360 -03 $35.69 Voucher Total $35.69 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 9/8/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/8/2010 76V77A350 $35.69 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date /Ricer Delivery Service Invoice Invoice date August 28, 2010 Invoice number OOOOAA5702350 Shipper number AA5702 Control ID Q040 Page 1 of 3 #BWNGWNG# Sign up for electronic billing today! #0249AOOOOAA57022# 77401400022080 Visit ups.com /billing AT 01 037165 57551 H124 B *3DGT For questions about your invoice, call: I�II�I�I��I��I' I�fILIII��III��I�I��I��III�IIIII�III��II��IIJI (800) 811 -1648 Monday Friday BROOKSHIRE GOLF CLIMB B:OOa.m.- 9:OOp.m.E.T. 12120 BROOKSHIRE PKWY or write: CARMEL, IN 46033-3314 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS Weekly Payment Plan Amount Due This Period 10.19 Summary of Charges Amount Outstanding (prior invoices) 0.00 Page Charge Total Amount Outstanding 10.19 Outbound Don 't l u g your luggage 3 UPS Internet Shipping 10.1 Planning a trip? If you want to avoid airline baggage fees and Amount due this period 10.19 long waits at the luggage carousel, The UPS Store®.can help. Ship your belongings directly to your destination in a specially UPS payment terms require payment of this bill by September 8, designed, corrugated luggage box that acts like a suitcase, but 2010• is both lighter and trackable. If you d rather fly with your belongings, the boxes have a sturdy handle for carrying and Payments not received by September 22, 2010 are subject to a meet airline size restrictions. Visit the upssiore.com for more late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) details and to find a location near you. Note.. This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 5.5 for UPS Ground Services and 7.594 for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date August 28, 2010 I OWN Invoice number OOOOAA5702350 Shipper number AA5702 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Dale Paid OGOOAA6702280 07/10/2010 11.82 i Delivery Service Invoice Invoice date August 28, 2010 Invoice number OOOOAA5702350 Shipper number AA5702 n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 08/23 1ZAA57020393588869 Ground Commercial 30336 4 5 9.66 Fuel Surcharge 0.53 Total 10.19 UserlD Pllister Sender :Pam Lister Receiver: Brookshire Golf Club Etonic Worldwide 12120 Brookshire Parkway 1000 Westlake Parkway SW Carmel IN 46033 ATLANTA GA 30336 Total for Internet-11): Mister 10.19 Total UPS Internet Shipping 1 Package(s) 10.19 Total Outbound 1 Package(s) 10.19 037165 212 i VOUCHER NO. WARRANT NO. ALLOWED 20 United Parcel Service IN SUM OF Lockbox 577 Carol Stream, IL 60132 -0577 $10.19 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1207 OOOOAA5702350 43- 421.00 $10.19 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, September 03, 2010 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/28/10 OOOOAA5702350 Shipping $10.19 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer